Finding into death of LX
A 31-year-old man subject to a post-sentence supervision order died from mixed drug toxicity (methadone, diazepam, pregabalin, promethazine, pizotifen) at a residential facility. He was a vulnerable person with acquired …
Deceased
Gordon Edward Wright
Demographics
male
Coroner
Coroner E. C. Batt
Date of death
2009-11-18
Cause of death
Drowning
AI-generated summary
Gordon Edward Wright drowned after capsizing his boat at Manns Beach Entrance on 18 November 2009. He became fatigued in the water and was unable to prevent aspiration. The coroner found this death was likely preventable had the deceased worn a life jacket or appropriate flotation device. This case highlights the critical importance of life jacket use in all boating activities, particularly for recreational vessels. Fatigue combined with immersion creates rapid deterioration in swimming ability and consciousness. The coroner's recommendation focused on public education campaigns targeting boating communities resistant to life jacket use, recognising that behaviour change is essential for drowning prevention.
AI-generated summary — refer to original finding for legal purposes. Report an inaccuracy.
FORM 38 Rule 60(2)
FINDING INTO DEATH WITHOUT INQUEST Section 67 of the Coroners Act 2008 Court Reference: 5414/2009 In the Coroners Court of Victoria at Sale
I Mr E, Batt, Coroner having investigated the death of:
Details of deceased:
Surname: Wright First name: Gordon Edward Address: 48 MoMillan Street Briagolong VIC 3860
without holding an inquest: find that the identity of the deceased was Gordon Edward Wright and death oceurred an 18/11/2009 at Manns Beach Entrance, Manns Beach from la) Drowning
Pursuant to Section 67(2) of the Coroners Act 2008, an inquest into the death was not held and the deceased was not immediately before the person died, a person placed in custody or cate; but there is a public interest to be served in making findings regarding the following circumstances:
In all circumstances it is unlikely this tragic consequence would have occurred had the deceased been wearing a life jacket or appropriate floatation device.
Pursuant to Section 72(2) of the Coroners Act 2008, I make the following recommondation(s) connected with the death:
L Marine Safety Victoria are encouraged to ascertain which sections of the boating community are resisting the wearing of life jackets and target some form of advertising campaign to get them to change their habits.
Signature:
Date: asiaighto
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